Remove Hyperthermia / Hypothermia Remove Operations Remove Resuscitation
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CICM Second Part Exam Practice SAQs 22082024

Intensive Blog

Outline the initial assessment of severe burns injury, including how you will calculate fluid resuscitation requirements. Outline the key considerations for the early post-operative ICU care of a patient who had open surgery for Type A aortic dissection. Operative course? (50%) Oxygen saturation targets in critical care Q2.

Burns 52
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Single ventricle defects and the hunt for the best shunt

Don't Forget the Bubbles

Whilst waiting for an operation, they need to be managed medically. The underlying heart defect determines the precise operation performed – you might have heard of the Norwood procedure , an example used for HLHS specifically. Six hours post-operatively, they become more mottled, with weak pulses – signs of poor systemic perfusion.

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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

RebelEM

While many healthcare systems across the world operate in a similar fashion, the United States does not. With everything just mentioned considered, DED, in addition to other resuscitative therapies, should still be used for patients in RVF. REFERENCES: Cheskes S, et al.

EMS 52
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Penetrating chest trauma

Don't Forget the Bubbles

In addition, a flimsy cannula is easily dislodged during ongoing resuscitation and easily clots off. This was a randomised controlled multisite study comparing resuscitation of trauma patients requiring massive transfusion using either 1:1::1 or 1:1:2 ratios of platelets to plasma to red blood cells. to −0.5%]; P  = 0.03.).

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Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls

Pediatric Emergency Playbook

The Trauma Death Spiral Lethal triad of hypothermia, acidosis, and coagulopathy. Resuscitative Pearls Our goal here is damage control. Otherwise, resuscitate, identify the bleeding source, and slow or stop the bleeding with blood products or surgery. Puffer fish or blob: a hyperfibrinolytic tracing.

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Rethinking the Role of TXA: Are We Asking Too Much?

RebelEM

This balance is upset in trauma by loss of blood and factors, acidosis, hypothermia and the inflammatory cascade. We should expect TXA to help in immediate stabilization and allow trauma teams the time to intervene (whether that be continued resuscitation, interventional or operative procedures).

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An Insight into Mountain Rescue Teams (MRTs)

Mind The Bleep

Scottish Mountain Rescue (SMR) is an umbrella organisation, with teams the final decider of how they operate. Of the medical conditions reported, hypothermia was the largest group – the vast majority mild. Team equipment, procedures, training schedules/frequency, and skill mix vary between teams greatly.